Background - Transient ischemic attack (TIA) and stroke patients often show a striking lack of knowledge about their disease. We developed a computer program that provided health education fitting the educational level, risk profile and symptoms of patients and evaluated it in a randomized controlled trial. Methods - Transient ischemic attack or minor stroke patients were allocated to health education by a physician (n = 32) or to a combination of education by a physician and the computer program (n = 33). Knowledge was tested by means of a questionnaire at 1 and 12 weeks after inclusion. The maximum possible score was 71 points. Results - Overall knowledge was low - the mean score was 43.6 at 1 week and 42.0 points at 12 weeks for both the groups. The intervention group had slightly better scores at 1 week after using the computer program, 45.4 vs 41.5 (P = 0.09), with the difference increasing to 4.3 points after (post-hoc) adjustment for age and level of education (P = 0.06). After 12 weeks, the score in the intervention group dropped significantly to 42.0 points (P = 0.05), and was no longer different from the standard group Conclusion - This study did not show a lasting effect of health education by an individualized computer program on the knowledge of TIA and minor stroke patients.

Additional Metadata
Keywords Compliance, Computer, Risk factors, Stroke, Transient ischemic attack
Persistent URL dx.doi.org/10.1111/j.1600-0404.2006.00722.x, hdl.handle.net/1765/35643
Citation
Maasland, E, Koudstaal, P.J, Habbema, J.D.F, & Dippel, D.W.J. (2007). Effects of an individualized multimedia computer program for health education in patients with a recent minor stroke or transient ischemic attack - A randomized controlled trial. Acta Neurologica Scandinavica, 115(1), 41–48. doi:10.1111/j.1600-0404.2006.00722.x